When patients' priorities conflict with those of their medical team; a challenging case of a bleeding patient and his dying pet

A qualitative content analysis of an online forum for people with kidney disease: Exploring the role of companion and non-companion animals

BACKGROUND

Companion and other animals have been known to promote wellbeing of people living with chronic disease by assisting in emotional regulation, social interaction and enhancing self-identity. However, little is known about the impact of animals on people with kidney disease, who often live with treatment burden, as well as compromised immune systems making them vulnerable to zoonotic diseases.

OBJECTIVES

To explore the impact companion and non-companion animals have on the lives of people living with kidney disease.

DESIGN

Qualitative Content Analysis of 518 posts from an online forum.

PARTICIPANTS

One hundred seventy-two people (109 female, 41 male and 22 unknown) posting to an online forum for people undergoing kidney dialysis.

RESULTS

Benefits of bonds with animals included reciprocal love and affection, emotional support, stress reduction, aiding relaxation, assisting social interaction, animals' intuitive comfort when unwell, feelings of loyalty, and motivation to live, concerns relating to zoonotic disease risk, and patients' impressions of health professionals' opinions on animals.

CONCLUSIONS

This study reinforces the existence of strong bonds between humans and animals, as well as demonstrating the importance of and concerns regarding interacting with non-companion animals for people with chronic kidney disease (CKD). There is a mismatch between patients' perception of infection risk and the advice and opinions of some healthcare professionals. Recognition and support for the role of animals as social supports are warranted in history taking, patient education of risk, and the biopsychosocial benefits of animals.